Nursing of amniotic fluid embolism.doc

 PAGE \* MERGEFORMAT 7 Nursing of amniotic fluid embolism [Keywords:] of amniotic fluid embolism; rescue; Care Amniotic fluid embolism during childbirth is the amniotic fluid into the maternal circulation causes pulmonary embolism caused by the process of bleeding, shock and disseminated intravascular coagulation (DIC) and a series of severe symptoms of the syndrome. This is a rare obstetric and danger complication of acute onset, rapid change, high mortality was observed not careful, the rescue is not timely death can occur within a short time, so the disease should be carefully observed, timely detection and timely treatment, is the key to successful treatment [1]. lower The incidence of amniotic fluid embolism is to improve the quality of obstetrics and ensure one of the important measures of maternal security. September 28, 2009, the author first met at a higher level hospital training after term delivery in 1 case of maternal amniotic fluid embolism, due to timely medical observation, the rapid rescue, care and with the good, successful rescue. Is impressive, is combined with the A typical case of nursing as follows. 1 Case information Female patient, 32 years old, pregnant 2 production 1, 39 weeks pregnant fetal head position in labor intrauterine life, because regular abdominal pain 3 h in at 22:20 on September 27, 2009 Walk admitted to the examination: T 36.6 , P 80 times / min, R 20 times / min, BP 110/80 mm Hg. generally in good condition, no abnormal heart and lung auscultation, Gong means the end of two horizontal under the xiphoid. obstetric examination: cephalic presentation, fetal position ROA, fetal heart rate 142 / min, cervix large 2 cm, first revealed S-2, rupture of storage, perfect after admission, the laboratory examinations into the delivery room to be produced, 23:30 natural rupture of membranes, amniotic fluid, clear, smooth progress of labor, 3:40 the whole cervix, first exposed S +3,4:05 vaginal delivery of a live matur